MSCT诊断Taussig-Bing畸形的价值(10例与手术对比分析)
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摘要
目的:探讨MSCT在Taussig-Bing畸形诊断中的价值。方法:回顾性分析10例手术证实的TaussigBing畸形患者的MSCT扫描资料,并将CT结果与手术结果进行对照。结果:10例中,MSCT诊断率为80%,并发畸形符合率为92%。结论:MSCT对Taussig-Bing畸形的诊断符合率高,是Taussig-Bing畸形的一种准确、无创的检查方法。
Objective: To investigate the diagnostic value of 320-detector row CT in Taussig-Bing anomaly.Methods: The MSCT of 10 cases with surgical proved Taussig-Bing anomaly were analyed retrospectively. The results of CT and surgery were compared. Results: Eight of them were diagnosed correctly by MSCT preoperatively. The diagnostic rate was fairly high as 80%. It was fairly high as 92%,the diagnostic rate of the anomalies accompanied by Taussig-Bing anomaly. Conclusion: MSCT has important diagnostic value for Taussig-Bing anomaly of the anatomical diagnosis. MSCT is of great value in diagnosing of Taussig-Bing anomaly. It is an accurate and noninvasive method in diagnosing Taussig-Bing anomaly.
Objective: To investigate the diagnostic value of 320-detector row CT in Taussig-Bing anomaly.Methods: The MSCT of 10 cases with surgical proved Taussig-Bing anomaly were analyed retrospectively. The results of CT and surgery were compared. Results: Eight of them were diagnosed correctly by MSCT preoperatively. The diagnostic rate was fairly high as 80%. It was fairly high as 92%,the diagnostic rate of the anomalies accompanied by Taussig-Bing anomaly. Conclusion: MSCT has important diagnostic value for Taussig-Bing anomaly of the anatomical diagnosis. MSCT is of great value in diagnosing of Taussig-Bing anomaly. It is an accurate and noninvasive method in diagnosing Taussig-Bing anomaly.
引文
1 Walters HL,Mavroudis C,Tchervenkov CI,Jacobs JP,Lacour-Gayet F,Jacobs ML.Congenital Heart Surgery Nomenclature and Database Project:double outlet right ventricle.Ann Thorac Surg.2000.69(4 Suppl):S249-63.
2 Dydynski PB,Kiper C,Kozik D,et al.Three-Dimensional Reconstruction of Intracardiac Anatomy Using CTA and Surgical Planning for Double Outlet Right Ventricle:Early Experience at a Tertiary Care Congenital Heart Center.World J Pediatr Congenit Heart Surg,2016,7:467-474.
3 Wilkinson JL WBR,Anderson RH.The anatomy of doubleoutlet right ventricle[M].churchill Livingstone,1981.397-407.
4 Konstantinov IE.Taussig-Bing anomaly:from original description to the current era.Tex Heart Inst J.2009.36(6):580-5.
5 Van Praagh R.What is the Taussig-Bing malformation.Circulation.1968.38(3):445-9.
6 朱晓东.心脏外科基础图解.第二版.北京:中国协和医科大学出版社,2010-01:387-388.
7 Pang K,Meng H,Wang H,et al.[Value of a novel categorization of congenital double-outlet right ventricle on guiding the choice of surgical approaches].Zhonghua Xin Xue Guan Bing Za Zhi,2015,43:969-974.
8 彭志远,马小静,周宏,等.64层螺旋CT心轴位像测评先心病主动脉骑跨程度.中国医学影像技术,2009:2033-2035.
9 Tchervenkov CI,Tahta SA,Cecere R,Béland MJ.Singlestage arterial switch with aortic arch enlargement for transposition complexes with aortic arch obstruction.Ann Thorac Surg.1997.64(6):1776-81.
10 王顺民,徐志伟,刘锦纷等.先天性心脏病Taussig-Bing畸形的外科治疗.临床儿科杂志.2007.25(10):867-869.
11 Berry BE,Mc Goon DC.Total correction for tetralogy of Fallot with anomalous coronary artery.Surgery.1973.74(6):894-8.
12 Tchervenkov CI,Pelletier MP,Shum-Tim D,Béland MJ,Rohlicek C.Primary repair minimizing the use of conduits in neonates and infants with tetralogy or double-outlet right ventricle and anomalous coronary arteries.J Thorac Cardiovasc Surg.2000.119(2):314-23.
13 徐志伟.小儿心脏手术学.北京:人民军医出版社,2006:431-450.
2 Dydynski PB,Kiper C,Kozik D,et al.Three-Dimensional Reconstruction of Intracardiac Anatomy Using CTA and Surgical Planning for Double Outlet Right Ventricle:Early Experience at a Tertiary Care Congenital Heart Center.World J Pediatr Congenit Heart Surg,2016,7:467-474.
3 Wilkinson JL WBR,Anderson RH.The anatomy of doubleoutlet right ventricle[M].churchill Livingstone,1981.397-407.
4 Konstantinov IE.Taussig-Bing anomaly:from original description to the current era.Tex Heart Inst J.2009.36(6):580-5.
5 Van Praagh R.What is the Taussig-Bing malformation.Circulation.1968.38(3):445-9.
6 朱晓东.心脏外科基础图解.第二版.北京:中国协和医科大学出版社,2010-01:387-388.
7 Pang K,Meng H,Wang H,et al.[Value of a novel categorization of congenital double-outlet right ventricle on guiding the choice of surgical approaches].Zhonghua Xin Xue Guan Bing Za Zhi,2015,43:969-974.
8 彭志远,马小静,周宏,等.64层螺旋CT心轴位像测评先心病主动脉骑跨程度.中国医学影像技术,2009:2033-2035.
9 Tchervenkov CI,Tahta SA,Cecere R,Béland MJ.Singlestage arterial switch with aortic arch enlargement for transposition complexes with aortic arch obstruction.Ann Thorac Surg.1997.64(6):1776-81.
10 王顺民,徐志伟,刘锦纷等.先天性心脏病Taussig-Bing畸形的外科治疗.临床儿科杂志.2007.25(10):867-869.
11 Berry BE,Mc Goon DC.Total correction for tetralogy of Fallot with anomalous coronary artery.Surgery.1973.74(6):894-8.
12 Tchervenkov CI,Pelletier MP,Shum-Tim D,Béland MJ,Rohlicek C.Primary repair minimizing the use of conduits in neonates and infants with tetralogy or double-outlet right ventricle and anomalous coronary arteries.J Thorac Cardiovasc Surg.2000.119(2):314-23.
13 徐志伟.小儿心脏手术学.北京:人民军医出版社,2006:431-450.